MATTHEW WALKER COMPREHENSIVE HEALTH CENTER, INC (NPI# 1356405278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356405278 |
| Entity Type | Organization |
| Organization Name | MATTHEW WALKER COMPREHENSIVE HEALTH CENTER, INC |
| Practice Address |
1035 14th Ave N Nashville TN 37208 |
| Mailing Address |
1035 14th Avenue North Nashville TN 37208-3050 |
| Practice Telephone | 6153279400 |
| Mailing Telephone | 6153401292 |
| Mailing Fax Number | 6153272806 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2019-09-05 |
| Authorized Official Name | KATINA R BEARD (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6153279400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | NABP | 4410217 | 01 |
| TN | 4447813 | 05 | |
| TN | 3340187 | 05 |
| Other Name | Type Code |
|---|---|
| Matthew Walker Comprehensive Health Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 739 President Place, Smyrna, TN 371676844 | 6153401292 | 6153272806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255658480 | Matthew Walker Comprehensive Health Center, Inc | Clinic/Center | 1700 17th Avenue North, Fisk Unvieristy Shane Hall, Nashville, TN 37208 | 2010-04-28 |
| 1104008747 | Matthew Walker Comprehensive Health Center, Inc | Clinic/Center | 230 Dover Rd, Clarksville, TN 37042-4183 | 2007-12-05 |
| 1174839781 | Matthew Walker Comprehensive Health Center, Inc | Clinic/Center | 739 President Pl, Suite 100, Smyrna, TN 37167-6844 | 2010-08-20 |
| Street Address |
1035 14TH AVE N |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902810179 | Latonya Denise Knott | Internal Medicine | 1035 14th Ave N, Matthew Walker Comprehensive Health Center, Nashville, TN 37208-3050 | 2006-07-27 |
| 1447877485 | Lorianne Marsh | Registered Nurse | 1035 14th Ave N, Nashville, TN 37208-3050 | 2020-06-25 |
| 1679198469 | Shannon Davies | Nurse Practitioner | 1035 14th Ave N, Nashville, TN 37208-3050 | 2020-06-08 |
| 1144889551 | Diahann Shola Onadeko | Dentist | 1035 14th Ave N, Nashville, TN 37208-3050 | 2019-06-10 |
| 1528542230 | Onika L'shaye Richmond-hibbler | Nurse Practitioner | 1035 14th Ave N, Nashville, TN 37208-3050 | 2018-09-18 |
| 1154871564 | Amanda Holley | Registered Nurse | 1035 14th Ave N, Nashville, TN 37208-3050 | 2016-10-10 |
| 1811446073 | Laureen Easley | Registered Nurse | 1035 14th Ave N, Nashville, TN 37208-3050 | 2016-09-29 |
| 1265897508 | Megan Elizabeth Wilkey | Dental Hygienist | 1035 14th Ave N, Nashville, TN 37208-3050 | 2015-12-30 |
| 1265818801 | Tessa Lee Tyson | Marriage & Family Therapist | 1035 14th Ave N, Nashville, TN 37208-3050 | 2015-08-05 |
| 1932514197 | Shaniqua S Clark | Nurse Practitioner | 1035 14th Ave N, Nashville, TN 37208-3050 | 2014-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199210 | Michele M Collins | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr, 3rd Floor Gpr Clinic, Nashville, TN 37208 | 2020-06-19 |
| 1730700105 | Prince Eleeh | Student in an Organized Health Care Education/Training Program | Department of Psychiatry, Meharry Medical College, 1005 Dr. D. B. Todd, Jr. Blvd., Nashville, TN 37208 | 2020-04-27 |
| 1750900411 | James Curtis Roberson IIi | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd Jr, Boulevard, Nashville, TN 37208 | 2020-04-13 |
| 1184252322 | Sandip Chaugai | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Blvd, Nashville, TN 37208 | 2020-04-01 |
| 1366070542 | Bukola Adeyinka Olagbende | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd, Jr. Blvd, Nashville, Tn, Nashville, TN 37208 | 2020-04-01 |
| 1821651704 | Vielka Oglivie | Social Worker | 1005 Dr. D.b. Todd, Jr Blvd, Nashville, TN 37208 | 2019-04-17 |
| 1154882702 | Ajua Fondong Azingala | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr. Blvd, Nashville, TN 37208 | 2019-03-27 |
| 1437619749 | Dockmias Kassahun Demeke | Student in an Organized Health Care Education/Training Program | 1005 Dr D.b. Todd Jr Boulevard, Nashville, TN 37208 | 2019-03-22 |
| 1225598717 | Ekemini Ima Orok | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd Jr., Blvd., Nashville, TN 37208 | 2019-03-21 |
| 1861952608 | Andrea Giselle Lozano | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Boulevard, Nashville, TN 37208 | 2019-03-20 |
| Find all providers in zip 37208 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1639546187 | United Neighborhood Health Services, Inc. | Clinic/Center | 3904 Gallatin Pike, Nashville, TN 37216 | 2015-08-31 |
| 1285999128 | United Neighborhood Health Services, Inc | Clinic/Center | 401 Walton Ln, Nashville, TN 37216-1018 | 2012-07-06 |
| 1619230661 | United Neighborhood Health Services, Inc | Clinic/Center | 1800 Stratford Ave, Nashville, TN 37216-4034 | 2012-06-23 |
| 1356604482 | United Neighborhood Health Services, Inc | Clinic/Center | 160 Antioch Pike, Nashville, TN 37211-3018 | 2012-06-22 |
| 1386895027 | Community Governing Board of Mattew Walker Comprehensive Cente | Clinic/Center | 904 26th Ave N, Nashville, TN 37208-3202 | 2008-09-30 |
| 1710176649 | United Neighborhood Health Services, Inc | Clinic/Center | 222 Grace St, Nashville, TN 37207-5912 | 2007-10-16 |
| 1568844991 | South Central Primary Care Center, Inc. | Clinic/Center | 201 N Bartow St, Nashville, GA 31639-1435 | 2015-06-22 |
| 1750723029 | United Neighborhood Health Services, Inc | Clinic/Center | 2195 Nolensville Pike, Nashville, TN 37211 | 2013-07-26 |
| Find all providers in NASHVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.